An interrater reliability study of gait analysis systems with the dual task paradigm in healthy young and older adults.

Background and aims: One reason for the controversial discussion of whether the dual task (DT) walking paradigm has an added value for diagnosis in clinical conditions might be the use of different gait measurement systems. Therefore, the purpose was 1) to detect DT effects of central gait parameter...

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Publicado en:European Review of Aging & Physical Activity Vol. 18; no. 1; pp. 1 - 13
Autores principales: Klotzbier, Thomas Jürgen, Wollesen, Bettina, Vogel, Oliver, Rudisch, Julian, Cordes, Thomas, Jöllenbeck, Thomas, Vogt, Lutz
Formato: Artículo
Publicado: BioMed Central 8/3/2021
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: 8/3/2021
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      pub: BioMed Central
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        atl: An interrater reliability study of gait analysis systems with the dual task paradigm in healthy young and older adults.
      aug:
        au:
          Klotzbier, Thomas Jürgen
          Wollesen, Bettina
          Vogel, Oliver
          Rudisch, Julian
          Cordes, Thomas
          Jöllenbeck, Thomas
          Vogt, Lutz
        affil:
          Department of Sport and Exercise Science, University of Stuttgart, Allmandring 28, 70569, Stuttgart, Germany
          Department of Human Movement Science, University of Hamburg, Mollerstraße 10, 20148, Hamburg, Germany
          Biological Psychology and Neuroergonomics, TU Berlin, Fasanenstr. 1, 10623, Berlin, Germany
          Department of Neuromotor Behavior and Exercise, Institute of Sport and Exercise Sciences, University of Münster, Horstmarer Landweg 62B, 48149, Münster, Germany
          Institute for Biomechanics, Clinic Lindenplatz, Weslarner Str. 29, 59505, Bad Sassendorf, Germany
          Department of Exercise & Health, University of Paderborn, Warburger Straße 100, 33098, Paderborn, Germany
          Department of Sports Medicine, Goethe University Frankfurt am Main, Ginnheimer Landstr. 39, 60487, Frankfurt, Germany
      su:
        Older people
        Cognitive ability
        Gait disorders
        Measurement errors
        Verbal behavior testing
      sug:
        subj:
          Older people
          Cognitive ability
          Gait disorders
          Measurement errors
          Verbal behavior testing
      keyword:
        Cognitive-motor interference
        Dual task walking
        Gait analysis
        Minimal detectable change
        Older adults
        Verbal fluency
        Cognitive-motor interference
        Dual task walking
        Gait analysis
        Minimal detectable change
        Older adults
        Verbal fluency
      ab: Background and aims: One reason for the controversial discussion of whether the dual task (DT) walking paradigm has an added value for diagnosis in clinical conditions might be the use of different gait measurement systems. Therefore, the purpose was 1) to detect DT effects of central gait parameters obtained from five different gait analysis devices in young and old adults, 2) to assess the consistency of the measurement systems, and 3) to determine if the absolut and proportional DT costs (DTC) are greater than the system-measurement error under ST. Methods: Twelve old (72.2 ± 7.9y) and 14 young adults (28.3 ± 6.2y) walked a 14.7-m distance under ST and DT at a self-selected gait velocity. Interrater reliability, precision of the measurement and sensitivity to change were calculated under ST and DT. Results: An age effect was observed in almost all gait parameters for the ST condition. For DT only differences for stride length (p <.029, ɳ =.239) as well as single and double limb support (p =.036, ɳ =.227; p =.034, ɳ =.218) remained. The measurement systems showed a lower absolute agreement compared to consistency across all systems. Conclusions: When reporting DT effects, the real changes in performance and random measurement errors should always be accounted for. These findings have strong implications for interpreting DT effects.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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